Media Registration Form
Name of Media Representative
*
Legal First Name
Legal Last Name
Media passes / Media Wrist Bands are for working media only. Additional Media passes / Media Wrist Bands will not be granted for unaffiliated guests.
You must complete one application form per person. If multiple people from your outlet intend to attend, each applicant must submit their own form.
Applying does not guarantee approval. Access will be granted on a case-by-case basis in the event organizer’s sole and absolute discretion.
Name of Media Organization
*
Department/Title
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Suite / Apt #
City
State
Post Code
Select Event
*
The Splash July 18th
Grassroots Championship July 18-20
National Championship July 19-21
Select Events You'd Like to Cover:
*
May 16-18: Clash of the Clubs
May 16-18: The Classic
Please verify that you are human
*
Submit
Should be Empty: